PMID- 38203297 OWN - NLM STAT- MEDLINE DCOM- 20240112 LR - 20240116 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 25 IP - 1 DP - 2023 Dec 21 TI - Post-Radiotherapy Exosomal Non-Coding RNA and Hemograms for Early Death Prediction in Patients with Cervical Cancer. LID - 10.3390/ijms25010126 [doi] LID - 126 AB - Concurrent chemo-radiotherapy (CCRT) is linked with accelerated disease progression and early death (ED) in various cancers. This study aimed to assess the association of plasma levels of exosomal non-coding ribonucleic acid (RNA) (ncRNA) and blood cell dynamics with ED prediction in patients with cervical cancer undergoing CCRT. Using propensity score matching, a comparison of complete blood counts (CBCs) was performed among 370 CCRT-treated patients. Differences in ncRNA and messenger RNA (mRNA) expression before and after CCRT in 84 samples from 42 patients (cohort 2) were represented as logarithmic fold change (log(2)FC). Networks were constructed to link the CBCs to the RNAs whose expression correlated with ED. From the key RNAs selected using multiple regression of all RNA combinations in the network, CBC dynamics-associated ncRNAs were functionally characterized using an enrichment analysis. Cohort 1 (120 patients) exhibited a correlation between elevated absolute neutrophil counts (ANC) and ED. Cohort 2 exhibited a prevalence of microRNA (miR)-574-3p and long intergenic non-protein coding (LINC)01003 ncRNA, whose expression correlated with ANC and hemoglobin values, respectively. Conversely, acyl-coenzyme A thioesterase 9 (ACOT9) mRNA was relevant to all CBC components. An integrative analysis of post-CCRT ncRNA levels and CBC values revealed that the patients with miR-574-3p-LINC01003-ACOT9 log(2)FC) < 0 had a better prospect of 30-month disease-specific survival. These findings indicate that miR-574-3p and LINC01003 could serve as ED prognostic biomarkers. FAU - Cho, Oyeon AU - Cho O AUID- ORCID: 0000-0002-9220-9471 AD - Gynecologic Cancer Center, Department of Radiation Oncology, Ajou University School of Medicine, Suwon 16499, Republic of Korea. LA - eng GR - 2018M3A9E8023860/National Research Foundation of Korea/ PT - Journal Article DEP - 20231221 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (MicroRNAs) RN - 0 (RNA, Messenger) SB - IM MH - Humans MH - Female MH - *Uterine Cervical Neoplasms/genetics/radiotherapy MH - *MicroRNAs MH - Blood Cell Count MH - RNA, Messenger MH - Leukocyte Count PMC - PMC10778718 OTO - NOTNLM OT - blood cell dynamics OT - cervical cancer OT - early death prediction OT - exosomal non-coding RNAs OT - radiotherapy COIS- The author declares no conflict of interest. EDAT- 2024/01/11 07:42 MHDA- 2024/01/12 06:42 PMCR- 2023/12/21 CRDT- 2024/01/11 01:17 PHST- 2023/10/24 00:00 [received] PHST- 2023/12/18 00:00 [revised] PHST- 2023/12/19 00:00 [accepted] PHST- 2024/01/12 06:42 [medline] PHST- 2024/01/11 07:42 [pubmed] PHST- 2024/01/11 01:17 [entrez] PHST- 2023/12/21 00:00 [pmc-release] AID - ijms25010126 [pii] AID - ijms-25-00126 [pii] AID - 10.3390/ijms25010126 [doi] PST - epublish SO - Int J Mol Sci. 2023 Dec 21;25(1):126. doi: 10.3390/ijms25010126.